Health Promotion in Older Adult Quiz 20

Failure to produce urine

anuria

(Age 65 +) Older adults try to make sense of their lives, either seeing life as meaningful and whole, or despairing at goals never reached and questions never answered.

ego integrity vs despair

What description for the term dementia is most appropriate?

A progressive impairment of intellectual function that interferes with normal activities

Correct term for prejudice against older adults?

Ageism

Which statements are myths that have been disproved concerning aging? (Select all that apply.)

All older adults are senile. Older adults are poor. Older adults are disabled.

What is the most common cause of dementia?

Alzheimer's disease

When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid reducing further drying of her skin?

Antibacterial soap

A female patient arrives at the clinic for the third time in 1 month. She reports insomnia, multiple health concerns, decreased appetite, and fatigue. She states, "I'm so sick. I can't even get out to my quilting group. I haven't been quilting since my kitten died." What is the most appropriate nursing action?

Assess for depression

With aging, the body becomes less able to recognize or tolerate the self. As a result, the immune system produces antibodies that act against itself.

Autoimmunity Theory

What theory claims there is a hereditary basis for aging?

Biological Programming

What is the best test to tell client who is post-menopausal woman about the risk of?

Bone Density scan

What is one area that is not physically affected by age?

Cognition

The time of day-to-day life when the developed kids leave home. The job of nurturing changes during this period of life cycle. The takeoff of youngsters doesn't end nurturing, as kids keep on requiring everyday encouragement and direction and some monetary help. Some kids may return to residing at home. During the separation stage, guardians need to rethink individual roles so for a feeling of helpfulness, achievement and self-satisfaction.

Disengagement Stage

The nurse recognizes that a term referring to mechanical difficulty of swallowing is

Dysphagia

When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson's developmental stages has the patient achieved?

Ego integrity

What is the result of a slowing of the impulse transmission in the nervous system?

Longer reaction time

Going from being a single, dependent person to being an interdependent Stage requires major adjustments such as learning to live together, communication and conflict resolution. Relationships established with a couple's individual parents and families can either encourage cohesiveness or show signs of weakness in later stages of life.

Establishment Stage

How often does a 76-year-old need a screening for preventive health?

Every year

Begins with conception and continues through pregnancy; one of the most important decisions of life is making family. Pregnancy requires physiologic and psychological adjustments but is described as rewarding and challenging- many important decisions to make about baby, lifestyle, employment. Desired outcome is bond and attachment established between parents and new baby

Expectant Stage

For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?

Falls related to posture changes

At mealtime, the older adult seems to be eating less food than would be adequate. Compared to the younger adult, what is a requirement for the older adult?

Fewer calories

Inability or unwillingness to get to the toilet because of physical limitations, depression, or confinement to bed or use of restraints.

Functional Urinary incontinence

Some believe because there is a hereditary component to aging, because other areas such as height and hair color, then genes might influence aging.

Genetic Theory

A change of aging related to the circulatory system includes decreased blood vessel elasticity, which leads the nurse to assess for:

Hypertension

What physical changes suggest osteoporosis?

Increased curvature of the spine and deceased height

When assessing the older adult, the nurse considers which aspect of the patient's routine as a possible contributor to constipation?

Intake of antacids several times a day

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

Kyphosis

What is the reason for geriatric female decrease in their sexual activity?

Lack of partner decreased estrogen/progesterone increased vaginal alkalinity

Male geriatric patient is concerned his sexual activity is declining, what are the reasons for this change?

Lack of partner decreased testosterone/androgen

When bathing an 80-year-old woman who lives on a farm, the nurse assesses brown macules on the patient's hands and forearms. The nurse recognizes these as

Lentigo

The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?

Loss of taste buds

When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?

Lower the tone of the voice

A 76-year-old male patient has been active his whole life and exercises regularly. He is admitted to the hospital for a proximal femur fracture he got after tripping at the local gym. What are appropriate nursing actions during this patient's recovery from a surgical repair of the femur? (Select all that apply.)

Monitoring vital signs Monitoring intake and output Pain management Deep breathing and coughing every 2 hours.

What to do to prevent the risk for skin break down?

Moving patient every 2 hours

When an older female patient complains of painful sexual intercourse, what should the nurse recognize as the probable cause?

Mucosal drying

Constipation is problematic for the older adult patient. What is the most appropriate dietary intervention the nurse will institute to maintain a normal bowel pattern?

Offering two servings of whole-grain bread and two bran muffins per day

Chronically full bladder increases bladder pressure to a higher level than urethral resistance is able to counter, resulting in a small volume of urine. Accompanied by weak urine stream, difficulty starting to pass urine, interrupted voiding or feeling incomplete emptying. May be a result from atonic bladder from diabetic neuropathy, side effect of anticholinergic meds, spinal cord injury or mechanical obstruction.

Overflow Incontinence

Aging often causes a decreased production of intrinsic factors from the stomach, thus interfering with the body's ability to use vitamin B42. What disease develops from this deficiency?

Pernicious anemia

What is age-related vision change caused by the loss of elasticity of the lens called?

Presbyopia

COPD patient, what is the best breathing technique to recommend

Pursed-lip breathing

What activities will help 65-year-old meet Erickson developmental task of ego integrity?

Reminiscing is how you get to ego integrity and become prepared/to terms with death.

What should be suggested to a patient to aid with the pain of claudication?

Rest

What is the major difference between rheumatoid arthritis and osteoarthritis?

Rheumatoid arthritis is inflammatory.

The last stage of the family cycle. In this stage, the parents have become grandparents. People often like to keep a balance of solitude and connection with the rest of their family. People in this stage must manage growing older and outlasting their spouse.

Senescence Stage

The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.

Shearing

Involuntary loss of small amounts of urine with increased abdominal pressure, such as coughing or sneezing.

Stress Incontinence

Associated with Cystitis, urethritis, tumors, stones, and CNS disorders such as stroke, dementia and Parkinson's. Involuntary loss of urine after a sudden urge to void

Urge incontinence

What topic is most important for the nurse to stress in discussing the best prevention for cardiac disease, falls, and depression for older adults?

Weight-Bearing Exercise

When should family members of a stroke victim expect to see some of the neurological involvement disappear?

Within 3 to 6 months

The older adult patient complains to the nurse about nocturia. This problem is most likely related to:

decrease in bladder capacity

(age 45-65) Middle aged adults are productive, performing meaningful work and raising a family, or become stagnant and inactive.

generativity vs stagnation

According to the "disengagement theory," people who are aging:

gradually withdraw from society.

Blood in urine

hematuria

(Ages 7-11) Children eagerly learn to be competent and productive or feel inferior and unable to do any task well.

industry vs inferiority

(Age 20-44) Young adults seek companionship and love with another person or become isolated from others

intimacy vs isolation

Excessive urination at night

nocturia

Diminished capacity to form and pass urine

oliguria